围产期产妇焦虑和抑郁症状与儿童两岁时的执行功能和注意力。
Perinatal Maternal Anxiety and Depressive Symptoms and Child Executive Function and Attention at Two-years of Age.
机构信息
Owerko Centre, Alberta Children's Hospital Research Institute, Faculty of Nursing, University of Calgary , Calgary, Canada.
Owerko Centre, Alberta Children's Hospital Research Institute, Faculty of Nursing, Department of Paediatrics, and Department of Community Health Sciences, University of Calgary , Calgary, Canada.
出版信息
Dev Neuropsychol. 2020 Sep;45(6):380-395. doi: 10.1080/87565641.2020.1838525. Epub 2020 Oct 20.
The objective was to investigate whether perinatal maternal anxiety and depressive symptoms predicted child attention and executive function (EF). Mothers (N = 614) reported pregnancy and three-months postnatal anxiety and depressive symptoms. Attention and EF were measured at two-years-of-age. Covariates were demographics, alcohol use, mood disorder history, and pregnancy factors. Higher prenatal anxiety, =.020(.005), <.001, and postnatal depressive symptoms, =.009(.004), =.04, predicted poorer child attention. A prenatal-by-postnatal depressive symptom interaction emerged, = -.005(.003), =.04: When pregnancy depressive symptoms were low, higher postnatal symptoms predicted poorer attention. No distress variables predicted EF, 's>.22. Perinatal distress timing, kind, and change were important for child attention.
目的在于探究围产期产妇焦虑和抑郁症状是否能预测儿童的注意力和执行功能（EF）。614 名母亲报告了孕期和产后三个月的焦虑和抑郁症状。在儿童两岁时测量了注意力和 EF。协变量包括人口统计学数据、酒精使用情况、心境障碍病史和妊娠因素。较高的产前焦虑，p=.020（.005）<.001，和产后抑郁症状，p=.009（.004）=.04，预示着儿童注意力较差。出现了产前-产后抑郁症状的交互作用，p=-.005（.003）=.04：当孕期抑郁症状较低时，较高的产后症状预示着较差的注意力。没有压力变量可以预测 EF，p>.22。围产期压力的时间、类型和变化对儿童的注意力很重要。
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